NPI | 1992432108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26741) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-08-07 |
Last Update Date | 2022-08-19 |